Provider Demographics
NPI:1619079100
Name:CHHOKAR CLINIC
Entity Type:Organization
Organization Name:CHHOKAR CLINIC
Other - Org Name:CHHOKAR & CHHOKAR MD'S PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-322-0528
Mailing Address - Street 1:2300 MANCHESTER EXPY STE 1001
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6877
Mailing Address - Country:US
Mailing Address - Phone:706-322-0528
Mailing Address - Fax:706-322-2080
Practice Address - Street 1:2300 MANCHESTER EXPY STE 1001
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6877
Practice Address - Country:US
Practice Address - Phone:706-322-0528
Practice Address - Fax:706-322-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty